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@ARTICLE{Blotenberg:276779,
      author       = {Blotenberg, Iris and Boekholt, Melanie and Lieberknecht,
                      Nils and Säring, Paula and Thyrian, Jochen René},
      title        = {{A}cceptance of {U}nsupervised {A}pp-{B}ased {C}ognitive
                      {A}ssessment in {O}utpatient {C}are: {A}n {I}mplementation
                      {S}tudy.},
      journal      = {JMIR formative research},
      volume       = {9},
      issn         = {2561-326X},
      address      = {Toronto},
      publisher    = {JMIR Publications},
      reportid     = {DZNE-2025-00318},
      pages        = {e62706},
      year         = {2025},
      abstract     = {The use of unsupervised digital cognitive assessments
                      provides considerable opportunities for early and
                      comprehensive testing for Alzheimer disease, minimizing the
                      demand on time and personnel resources in medical practices.
                      However, the acceptance within health care has yet to be
                      assessed.In this implementation study, the acceptance of an
                      app-based, repeated cognitive assessment for early symptoms
                      of Alzheimer disease in the outpatient care setting from
                      both physicians' and patients' perspectives was examined.In
                      total, 15 primary care practices participated, where
                      patients with self- or relative-reported memory problems
                      could be prescribed an app (neotivCare app [neotiv GmbH])
                      for comprehensive cognitive testing. Patients used the app
                      to test their episodic memory function weekly for 12 weeks
                      at home. After the testing period and the final
                      consultation, physicians and patients received
                      questionnaires to assess the app's acceptance.We received
                      completed questionnaires from physicians for 45 patients. In
                      addition, we received 45 completed questionnaires from the
                      patients themselves. The physicians reported that, for most
                      patients, the app supported their decision-making in the
                      diagnostic process (26/45, $58\%).$ In addition, most
                      physicians found the app's information dependable (34/45,
                      $76\%)$ and felt more certain in their decisions (38/45,
                      $84\%).$ From the patients' perspective, a majority felt
                      thoroughly tested (34/45, $76\%),$ and only a few considered
                      the time commitment for the cognitive tests to be too
                      burdensome (7/45, $16\%).$ Furthermore, despite the weekly
                      cognitive testing and the lengthy 12-week testing period, a
                      majority of patients participated in all tests (39/54,
                      $72\%).Our$ results indicate a high level of acceptance by
                      physicians and patients, suggesting significant potential
                      for the implementation of unsupervised digital cognitive
                      assessments into routine health care. In the future,
                      acceptance should be assessed in large-scale studies, with a
                      particular focus on the impact on health care delivery and
                      patient outcomes.},
      keywords     = {Humans / Female / Male / Mobile Applications / Aged /
                      Ambulatory Care / Alzheimer Disease: diagnosis / Alzheimer
                      Disease: psychology / Surveys and Questionnaires / Middle
                      Aged / Aged, 80 and over / Patient Acceptance of Health
                      Care: psychology / Primary Health Care / Alzheimer disease
                      (Other) / cognition (Other) / computerized assessment
                      (Other) / dementia (Other) / digital assessment (Other) /
                      digital cognitive biomarkers (Other) / digital platform
                      (Other) / home-based assessment (Other) / mild cognitive
                      impairment (Other) / mobile phone (Other)},
      cin          = {AG Thyrian},
      ddc          = {610},
      cid          = {I:(DE-2719)1510800},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39946414},
      doi          = {10.2196/62706},
      url          = {https://pub.dzne.de/record/276779},
}